6UE-31527-57649

3 vaccinations 4 coded responses 39 check-ins 4 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 012 / MA
Registered: 2021-03-27

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Moderna
2021-03-27
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: All is fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: It has now been 10 days since I had my first vaccination shot and all is well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Moderna
2021-04-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Asthenia, Bowel obstruction surgery, Hospitalisation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Surgery for a bowel obstruction. Totally unrelated to COVID. I spent three weeks in the hospital, most of the time without wearing a mask, and being very weak, but I did not get COVID while being in the hospital.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-05-13
Dose 3 — Moderna
2022-05-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-12
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ten days ago I came down with a common cold. I home tested negative 3 times and then had a negative PCR test on August 4.

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-05-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna
3	2022-05-13	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): All is fine.

Release 6 — day 7, dose 1

2021-04-05

Systemic reaction (other): It has now been 10 days since I had my first vaccination shot and all is well.

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Surgery for a bowel obstruction. Totally unrelated to COVID. I spent three weeks in the hospital, most of the time without wearing a mask, and being very weak, but I did not get COVID while being in the hospital.

Release 12 — 3 months, dose 3

2022-08-12

Symptoms: Ten days ago I came down with a common cold. I home tested negative 3 times and then had a negative PCR test on August 4.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Asthenia	·	·	✓
SD	Bowel obstruction surgery	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Nasopharyngitis	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release